Active NPI
Olivia Pagano, NP
- Family Nurse Practitioner
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95021756
- Practice address
- 15211 Vanowen St Ste 201
Van Nuys, CA 91405-3627 - Phone
- (818) 574-3798
- Fax
- (844) 809-9305
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95021756 | CA | Primary |
Addresses
Primary practice location
15211 Vanowen St Ste 201
Van Nuys, CA 91405-3627
Mailing address
541 W Colorado St Ste 205
Glendale, CA 91204-3640
Phone (323) 794-1403
Other practice location 1
222 W Eulalia St Ste 100C
Glendale, CA 91204-2850
Phone (818) 553-8160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4101 James Casey St
Suite 100
Austin, TX 78745-1145
Phone (512) 447-2202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95021756 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients |
Locations
12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900
4101 James Casey St
Ste 100
Austin, TX 78745
Phone (512) 447-2202
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
1308 Wonder World Dr
San Marcos, TX 78666
Phone (512) 396-5199
Interoperability endpoints
- olivia.pagano@txo.ikm.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
-
- Medical Oncology Physician
- Austin, TX
- NPI 1972770303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1396472155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 W COLORADO ST STE 205",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912043640",
"telephone_number": "323-794-1403",
"fax_number": "323-488-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15211 VANOWEN ST STE 201",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053627",
"telephone_number": "818-574-3798",
"fax_number": "844-809-9305"
}
],
"practiceLocations": [
{
"address_1": "222 W Eulalia St Ste 100C",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912042850",
"country_code": "US",
"telephone_number": "818-553-8160",
"fax_number": "818-553-8152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGANO",
"first_name": "OLIVIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95021756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.